NPI | 1922380245 |
---|---|
Doing Business As | MAYFIELD PHARMACY |
Entity Type | Organization |
Authorized Contact | MONICA FASANMI Pharmacist 817-795-8884 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: TX 27609) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2011-09-13 |
Last Update Date | 2017-01-18 |