| NPI | 1083337133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISREEN BATARSEH Pharmacist In Charge 469-600-9268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-12-21 |