NPI | 1831138213 |
---|---|
Doing Business As | REASOR'S PHARMACY #925 |
Entity Type | Organization |
Authorized Contact | NEIL DUCOTE VP Pharmacy 903-600-1376 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-06-04 |
Last Update Date | 2022-07-13 |