| NPI | 1386973568 |
|---|---|
| Doing Business As | MILLENNIUM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DEL INGRAM PIC 281-298-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: TX 26723) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2019-07-23 |