| NPI | 1205331311 |
|---|---|
| Doing Business As | OMNI PHARMACY |
| Entity Type | Organization |
| Authorized Contact | OSCAR NDEREVA Ownerr 469-969-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31937) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2020-04-01 |