| NPI | 1952415945 |
|---|---|
| Doing Business As | COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARTY DANIEL Owner/Partner 325-949-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 13817) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2017-02-20 |