| NPI | 1508196221 |
|---|---|
| Doing Business As | SPICEWOOD SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILL SHEPARD President 210-669-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 26733) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2010-04-29 |