| NPI | 1780750448 |
|---|---|
| Doing Business As | REASOR'S PHARMACY #916 |
| Entity Type | Organization |
| Authorized Contact | NEIL DUCOTE VP Pharmacy 903-600-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2022-07-13 |