| NPI | 1629511100 |
|---|---|
| Doing Business As | CENTRX PHARMACY AT NORTHWEST TEXAS |
| Entity Type | Organization |
| Authorized Contact | MARVIN PEMBER CEO 610-302-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31092) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2018-07-19 |