| NPI | 1659374379 |
|---|---|
| Doing Business As | MEDI-MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRYAN T ABERNATHY President 325-949-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 13819) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 13819) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2019-07-11 |