| NPI | 1124057997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA PERRONE President 817-738-2135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 01865) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2021-10-26 |