NPI 1134669070
Mayfield Pharmacy INC
Practice location
- Address
- 2451 Robinson Rd STE 200, Grand Prairie, TX 75051-3978
- Phone
- (214) 412-2790
- Fax
- (214) 677-1718
Authorised official
- Name
- Ethel Bubu
- Title
- Owner/Pharmacist in Charge
- Phone
- (502) 418-7872
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1134669070
- Entity type
- Organization
- NPI issued
- 25 Feb 2017
- Record last updated
- 25 Feb 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.