| NPI | 1043253206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS WAYNE SONG Pharmacist/Owner 972-355-4614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 18864) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2009-03-12 |