| NPI | 1174023493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILIA TSONGWAIN Owner 214-400-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TX 49917) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |