| NPI | 1053641639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAN BASS C Ph T, Office Manager 903-885-2639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31656) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2024-06-12 |