Organization
MAYFIELD PHARMACY INC
Active
Parent organization
MAYFIELD PHARMACY INC
Other names
ETHEL'S PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAYFIELD PHARMACY INC
Authorized official
DR. ETHEL BUBU DR. (OWNER/PHARMACIST IN CHARGE)
(502) 418-7872
Entity
Organization
Contact information
Practice address
2451 ROBINSON RD STE 200, GRAND PRAIRIE, TX 75051-3978
(214) 412-2790
(214) 677-1718
Mailing address
2451 ROBINSON RD STE 200, GRAND PRAIRIE, TX 75051-3978
(214) 412-2790
(214) 677-1718
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31274
TX
Other
Enumeration date
02/25/2017
Last updated
02/25/2017
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