| NPI | 1144183070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD E YOUNG Owner/Medical Director 817-871-9069 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-08 |