| NPI | 1194856096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUNDO CASTANEDA Exec VP & Chief Operating Officer 214-590-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: TX 15583) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2024-06-03 |