| NPI | 1205584059 |
|---|---|
| Doing Business As | INTEGRATED PHARMACY STORE #02 |
| Entity Type | Organization |
| Authorized Contact | MELISSA HAWKINS Chief Strategy Officer 817-600-6413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-03-11 |