| NPI | 1174003552 |
|---|---|
| Former Legal Business Name | LIVE OAK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BILAL ABU ATIEH Officer 972-532-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 32209) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |