NPI | 1487108015 |
---|---|
Doing Business As | PARK WOODS PHARMACY |
Entity Type | Organization |
Authorized Contact | DAVID LOTH Owner 669-999-6870 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY54414) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2016-08-11 |
Last Update Date | 2016-09-21 |