| NPI | 1407172901 |
|---|---|
| Doing Business As | LIVE OAK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NATHAN POPE Owner, PIC 512-476-8979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 26887) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-05-13 |