| NPI | 1295173441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA COILE Owner/PIC 214-403-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28587) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 28587) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 28587) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2025-10-15 |