| NPI | 1184622318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA GEORGE CEO 903-825-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TX 19651) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 19651) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 19651) | |
| 333600000X Pharmacy (Licence: TX 19651) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2023-09-14 |