| NPI | 1508277716 |
|---|---|
| Doing Business As | NORTHEAST CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WAYNE YOUNG CEO 713-970-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TX 29235) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2024-07-25 |