NPI | 1972617736 |
---|---|
Doing Business As | GROVEWAY PHARMACY |
Entity Type | Organization |
Authorized Contact | KIRAN RHIANNA SHEEHAN President 346-377-1791 |
Organization Subpart ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 16232) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2021-06-01 |