| NPI | 1568443489 |
|---|---|
| Doing Business As | THERACOM |
| Entity Type | Organization |
| Authorized Contact | ALICIA EVANS Assistant Secretary 469-365-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: MD PO5597) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2017-04-17 |