| NPI | 1053789313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN ROBINSON VP Contracting 806-324-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: FL PH0008215) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |