| NPI | 1407874936 |
|---|---|
| Doing Business As | BRICK STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY ABELDT Owner 903-533-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 21015) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-06-24 |