| NPI | 1174893663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HANCOCK CEO 806-212-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 11909) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2012-06-12 |