| 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 |