NPI | 1689774986 |
---|---|
Doing Business As | ENCORE PHARMACY #75 |
Entity Type | Organization |
Authorized Contact | NICKY OTTS President, Managing Officer 817-239-6516 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 23889) |
Additional Taxonomies | 333600000X Pharmacy |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2006-09-25 |
Last Update Date | 2024-11-18 |