| NPI | 1669741013 |
|---|---|
| Doing Business As | CENTROMED PHARMACY- WALZEM |
| Entity Type | Organization |
| Authorized Contact | CHUCK WALZEL CFO 210-334-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX H80CS007581002) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TX H80CS007581002) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |