| NPI | 1083285225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEYEMI GEORGE Pharmacy Manager 817-538-5251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-09-14 |