NPI | 1023611340 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRLEY DIANN THOMAS Pharmacist/Manager 817-538-5534 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2020-11-19 |
Last Update Date | 2020-11-19 |