| NPI | 1649326208 |
|---|---|
| Doing Business As | KINGSLAND HEALTH MART |
| Entity Type | Organization |
| Authorized Contact | TODD HUMPHRIES Owner 325-388-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 27621) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2015-12-07 |