| NPI | 1285779199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAEZE V MOGHALU Pharmacist In Charge 214-421-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-04-11 |