| NPI | 1831646645 |
|---|---|
| Doing Business As | STAGECOACH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD CARRACEDO Owner 512-401-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 31007) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-11-21 |