NPI | 1396784773 |
---|---|
Doing Business As | MARKET STREET PHARMACY #927 |
Entity Type | Organization |
Authorized Contact | TIM PURSER Director Of Pharmacy 806-791-7410 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00004375) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-06-04 |
Last Update Date | 2018-11-15 |