NPI | 1114266889 |
---|---|
Entity Type | Organization |
Authorized Contact | MATT GUNDELFINGER Owner 214-366-0022 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 27976) |
Enumeration Date | 2013-01-31 |
Last Update Date | 2013-01-31 |