| NPI | 1619199908 |
|---|---|
| Doing Business As | MANGUM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LORI MARISA LEAL President 713-208-7252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25475) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |