| NPI | 1962778738 |
|---|---|
| Doing Business As | CRESTVIEW PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JERRY HARPER Mr 512-452-9535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 27870) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |