| NPI | 1518215276 |
|---|---|
| Doing Business As | MEDICAL PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GERALD M OLUMBA PIC 832-865-2051 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31133) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2024-06-12 |