| NPI | 1114963600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HASTY Owner CEO 214-956-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 24380) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |