NPI | 1609253228 |
---|---|
Doing Business As | SMITH RANCH PHARMACY |
Entity Type | Organization |
Authorized Contact | TAMMIE MISKIMINS Mgr. Licensing & Third Party 817-572-0009 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29955) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2015-05-04 |
Last Update Date | 2015-05-04 |