| NPI | 1982702403 |
|---|---|
| Doing Business As | PRESCRIPTION SHOP |
| Entity Type | Organization |
| Authorized Contact | ROBERT FAST Pres. 432-837-3498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 944) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-09-02 |