NPI | 1114963600 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY HASTY Owner CEO 214-956-9770 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: TX 24380) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2025-09-11 |