| NPI | 1043315229 | 
|---|---|
| Doing Business As | WALNUT PLACE PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | ROLIN SAMUEL GREEN Pharmacist And Manager 214-361-8923 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 11588) | 
| Additional Taxonomies | 333600000X Pharmacy | 
| Enumeration Date | 2006-09-13 | 
| Last Update Date | 2008-10-08 |