| NPI | 1396381935 |
|---|---|
| Doing Business As | RECEPT PHARMACY #1 |
| Entity Type | Organization |
| Authorized Contact | TAMMIE MISKIMINS Director, Licensing & Credentialing 817-572-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |