| NPI | 1073900577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN GURLEY VP Legal Affairs 469-592-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2024-06-14 |