| NPI | 1568025112 |
|---|---|
| Doing Business As | TEXOMA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAVIVARMA DASARRAJU Managing Member 608-556-3925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2020-03-02 |