NPI | 1134223357 |
---|---|
Doing Business As | NORTH TEXAS STATE HOSPITAL (WF CAMPUS) |
Entity Type | Organization |
Authorized Contact | JANA JOHNSON Program Supervisor Vi 512-438-3124 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
Enumeration Date | 2006-09-08 |
Last Update Date | 2019-07-31 |