| NPI | 1003223041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWABENA BONSU Pharmacy Manager/Owner 817-887-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: TX 29368) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2025-09-25 |