| NPI | 1558602714 |
|---|---|
| Doing Business As | SOUTHPARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PRINCE OGBONNA President/Owner 806-353-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28599) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-10-26 |