| NPI | 1235664079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EYAD MAHROUQ Owner/Rph 469-573-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 31380) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |