| NPI | 1083923312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARWAN RASHID HATTAB Member 817-966-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27168) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2017-03-28 |