| NPI | 1790380830 |
|---|---|
| Doing Business As | PURAMINT |
| Entity Type | Organization |
| Authorized Contact | JOHN THORNSBERRY Pharmacist In Charge 984-302-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2022-04-08 |