NPI | 1730291642 |
---|---|
Doing Business As | GUS'S DRUG STORE |
Entity Type | Organization |
Authorized Contact | MARK BRADLEY Director 512-863-2506 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 03273) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-05-04 |