NPI | 1275676439 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID HOLLOWAY Manager 817-571-3374 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 12419) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2020-08-22 |