| NPI | 1740576206 |
|---|---|
| Doing Business As | SAGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HENRY FONSECA Owner/PIC 956-857-4823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27573) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-08-29 |