| NPI | 1215077474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MARCELLUS LARBIE Pharmacist In Charge 214-528-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 22441) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2011-02-17 |