| NPI | 1760233209 |
|---|---|
| Doing Business As | MARKET STREET PHARMACY #688 |
| Entity Type | Organization |
| Authorized Contact | SANDRA WILSON Audit & Compliance Specialist 806-791-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-10-04 |