| NPI | 1376658310 |
|---|---|
| Doing Business As | SAN JUAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRUCE GINGRICH Managing Officer 281-232-3940 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28439) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-07-02 |