| NPI | 1104064419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J MARK BRADFORD CEO 972-788-2653 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 26306) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |