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 |