| NPI | 1376602375 |
|---|---|
| Doing Business As | CLEAR LAKE PROFESSIONAL BLDG PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JUNG LEE Owner 281-332-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 03730) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2016-04-01 |