| NPI | 1043399447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY A NWOSU Pharmacy Manager 972-417-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2024-06-11 |