| NPI | 1356405930 |
|---|---|
| Doing Business As | YOUR DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | DAVID SIMMONS Pharmacist In Charge 267-325-0139 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP481376) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2012-10-04 |