NPI | 1790791531 |
---|---|
Doing Business As | SPENCE PHARMACY |
Entity Type | Organization |
Authorized Contact | SANDER SPENCE President 817-676-3744 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005812) |
Additional Taxonomies | 333600000X Pharmacy (Licence: TX 1863) |
3336C0004X Pharmacy, Compounding Pharmacy (Licence: CO 6331) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2014-02-25 |