| NPI | 1780784090 |
|---|---|
| Doing Business As | THE APOTHECARY SHOP |
| Entity Type | Organization |
| Authorized Contact | MANNY ANZALDUA VP Operations 817-503-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 25221) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 00523) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25221) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-03-07 |