NPI | 1831312297 |
---|---|
Doing Business As | KIDZ MEDICAL PHARMACY |
Entity Type | Organization |
Authorized Contact | SUZANNE AFALAVA VP 210-365-5135 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 26389) |
Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
3336S0011X Pharmacy, Specialty Pharmacy (Licence: TX 26389) | |
Enumeration Date | 2007-04-11 |
Last Update Date | 2011-11-15 |