| NPI | 1730421975 |
|---|---|
| Doing Business As | GRAND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK VOGLER Member 806-654-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 28600) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2016-08-26 |