NPI | 1750778783 |
---|---|
Doing Business As | LAKE HILLS PHARMACY |
Entity Type | Organization |
Authorized Contact | JOBBY JOHN Pharmacist/Partner 512-608-9355 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 28908) |
Enumeration Date | 2015-04-16 |
Last Update Date | 2015-04-16 |