NPI | 1023650439 |
---|---|
Entity Type | Organization |
Authorized Contact | OMOLARA A SOGBESAN President 972-954-1231 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy Compounding Pharmacy | |
Enumeration Date | 2019-10-17 |
Last Update Date | 2025-07-24 |