| NPI | 1902913213 |
|---|---|
| Doing Business As | MANGUM ROAD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY R HOWARD Corp President 713-682-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25021) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |