BRUCE'S MARKET BASKET, LTD.
6001 39th St
Groves, TX 77619
409-749-6405
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | TX | 20885 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
143495 | TX | MEDICAID |