NPI | 1356455349 |
---|---|
Doing Business As | MEDICINE CHEST # 113 |
Entity Type | Organization |
Authorized Contact | JOE WEAVER President 903-885-0821 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25934) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2006-08-18 |
Last Update Date | 2013-08-23 |