| NPI | 1073618302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD RAYMOND PANDOLFI Owner Pharmacist 806-359-5496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 14575) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-08-06 |