| NPI | 1689774986 |
|---|---|
| Doing Business As | ENCORE PHARMACY #75 |
| Entity Type | Organization |
| Authorized Contact | NICKY L 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 | 2023-03-08 |