| NPI | 1982038527 |
|---|---|
| Doing Business As | GRUENE ROAD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDREW T. NOONAN President/PIC 830-387-4378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 28766) |
| Enumeration Date | 2013-08-31 |
| Last Update Date | 2024-07-30 |