NPI | 1881781763 |
---|---|
Doing Business As | WILCOX LEGEND DRUG STORE |
Entity Type | Organization |
Authorized Contact | DAVE WILCOX VP PIC 409-267-6141 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 5131) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-10-10 |
Last Update Date | 2014-10-21 |