| NPI | 1376935502 |
|---|---|
| Doing Business As | PARK GROVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PAUL SANCHEZ Managing Member 832-412-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 29802) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2018-06-16 |