MALAKOFF PRESCRIPTION SHOP, INC
409 W Royall Blvd P.o. 1069
Malakoff, TX 75148
903-489-1909
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | TX | 03464 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
142904 | TX | MEDICAID |