| NPI | 1649264391 |
|---|---|
| Doing Business As | COPC PHARMACY SOUTHEAST CAMPUS |
| Entity Type | Organization |
| Authorized Contact | DAVID S LOPEZ Exec VP & Chief Operating Officer 214-590-4085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 4633300005) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-09-29 |