| NPI | 1447631734 |
|---|---|
| Doing Business As | SUPER DRUG MART |
| Entity Type | Organization |
| Authorized Contact | RAYMOND D IBANEZ Owner/Pharmacist 830-709-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 20307) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |