| NPI | 1912412297 |
|---|---|
| Doing Business As | GOOD LIFE PHARMACY #3 |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN STAUDT Managing Member 830-214-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2018-05-08 |