| NPI | 1255353504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SHOOK CFO & Treasurer 972-490-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 19974) |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2025-06-19 |