| NPI | 1083728075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CASADY PIC 214-857-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332100000X Department of Veterans Affairs (VA) Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |