| NPI | 1144192360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS CARLO CEO 214-521-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |