NPI | 1679047948 |
---|---|
Doing Business As | VENTANA PHARMACY |
Entity Type | Organization |
Authorized Contact | GURBHEJ CHEEMA Authorized Official 832-461-1767 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2019-01-18 |
Last Update Date | 2023-08-11 |