| NPI | 1568031524 |
|---|---|
| Doing Business As | PRESCRIPTION SHOP |
| Entity Type | Organization |
| Authorized Contact | AARON GIBSON Pharmacist In Charge 432-523-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-06-23 |