| NPI | 1285655241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN P LIPE Owner 214-478-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 24387) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2024-07-08 |