| NPI | 1467592683 |
|---|---|
| Doing Business As | CENTROMED PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHUCK WALZEL CFO 210-334-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX HBOCS007580400) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TX HBOCS007580400) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2011-11-03 |