| NPI | 1750493664 |
|---|---|
| Doing Business As | THE MEDICINE MAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARILYN ILENE ELKINS Owner/PIC 832-549-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 1881) | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2026-02-18 |