NPI | 1538125042 |
---|---|
Other Name | ALVIN MEDICINE MAN, L.P. |
Entity Type | Organization |
Authorized Contact | ERNEST H. ZOST President & CEO 972-860-0202 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 20995) |
Enumeration Date | 2006-04-24 |
Last Update Date | 2020-08-22 |