| NPI | 1285770032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PRESTON Pharmacist 325-690-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 22301) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-12-05 |