| NPI | 1376564310 |
|---|---|
| Doing Business As | STONEGATE PHARMACY ON BROADWAY |
| Entity Type | Organization |
| Authorized Contact | JESSICA RUIZ Controller 210-913-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 24112) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2017-09-06 |