| NPI | 1386087229 |
|---|---|
| Doing Business As | NORTH SHORE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JACOB LEWIS Pharmacist In Charge/Owner 505-710-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28640) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2017-03-17 |