NPI | 1790760056 |
---|---|
Doing Business As | PRESCRIPTION SHOP |
Entity Type | Organization |
Authorized Contact | AARON GIBSON Pharmacist In Charge/Owner 432-523-4861 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27623) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2005-12-09 |
Last Update Date | 2022-08-16 |