| NPI | 1174934129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAE HOON UHM Pharmacist In Charge 972-833-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 29202) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 29202) |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: TX 29202) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-10-30 |