NPI | 1740069095 |
---|---|
Doing Business As | PGM PHARMACY |
Entity Type | Organization |
Authorized Contact | PETA GAY MATTIS Managing Member 713-443-6690 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2023-09-26 |
Last Update Date | 2024-08-15 |