NPI | 1659406734 |
---|---|
Doing Business As | BRICKSTREET PHARMACY |
Entity Type | Organization |
Authorized Contact | JEFFREY V ABELDT President/Owner 903-533-8155 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 006419) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 21015) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2024-06-12 |