| NPI | 1588162960 |
|---|---|
| Doing Business As | PHARM HOUSE DRUG - LA GRANGE, LLC. |
| Other Name | PHARM HOUSE DRUG - LA GRANGE LLC |
| Entity Type | Organization |
| Authorized Contact | KRISTI ANN KUBOSH Owner 979-218-4735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31766) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2022-09-21 |