| NPI | 1154810760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN PETTIT Director Of Pharmacy Operations 972-860-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-23 |