NPI | 1124459870 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA B NGUYEN Officer 817-453-4444 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 28907) |
Enumeration Date | 2013-12-06 |
Last Update Date | 2013-12-06 |