| NPI | 1386784304 |
|---|---|
| Doing Business As | ASCENSION PROVIDENCE PLAZA OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JULIE L HOLLY Reg Dir Net Rev & Reimb 210-410-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 14491) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2025-09-16 |