| NPI | 1003867227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DANIEL RAY Owner/President 817-473-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 01376) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-09-05 |