| NPI | 1174253520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHU TRINH Director Of Pharmacy Operations 214-415-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-16 |