| NPI | 1093211005 |
|---|---|
| Doing Business As | CTCA/RX |
| Entity Type | Organization |
| Authorized Contact | TAMMIE MISKIMINS Senior Manager 817-572-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010615) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |