NPI | 1982698569 |
---|---|
Doing Business As | MOODY OUTPATIENT CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | EDMUNDO CASTANEDA Exec VP & Chief Operating Officer 214-590-8006 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: TX 4633300002) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2024-06-03 |