NPI | 1578074985 |
---|---|
Doing Business As | MARKET STREET PHARMACY #696 |
Entity Type | Organization |
Authorized Contact | TIM PURSER Director Of Pharmacy 806-791-7410 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31877) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2017-10-12 |
Last Update Date | 2018-06-08 |