NPI | 1447728423 |
---|---|
Doing Business As | PROVIDENCE PHARMACY |
Entity Type | Organization |
Authorized Contact | EMMANUEL ORUSAKWE President 832-623-7554 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2018-11-07 |
Last Update Date | 2018-11-07 |