| NPI | 1205872793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SONUGA Pharmacy Manager 972-223-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 24354) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |