| NPI | 1750140703 | 
|---|---|
| Doing Business As | CHN PHARMACY #300 | 
| Entity Type | Organization | 
| Authorized Contact | BRANDY SMITH Credentialing Specialist 281-824-1480 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy | 
| Enumeration Date | 2024-03-13 | 
| Last Update Date | 2024-03-13 |