| NPI | 1619059490 |
|---|---|
| Doing Business As | BEACH STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAMIP UPADHYAYA President 817-602-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25258) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2016-02-15 |