| NPI | 1790355576 |
|---|---|
| Doing Business As | SSRX PHARMACY 1 |
| Entity Type | Organization |
| Authorized Contact | MARK GARY FETCENKO COO 713-660-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |