| NPI | 1790391654 |
|---|---|
| Doing Business As | PHS SUC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | COURTNEY DIAZ Managing Partner 832-916-4674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |