NPI | 1700943073 |
---|---|
Doing Business As | NORTHWEST PHARMACY |
Entity Type | Organization |
Authorized Contact | ERIC MATOKE PIC Owner 972-207-0247 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25349) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2013-03-12 |