| NPI | 1396884540 |
|---|---|
| Doing Business As | FORTY ACRES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TERRY WEAVER Chief Pharmacist 512-471-1824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 05620) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2016-07-06 |