| NPI | 1306341128 |
|---|---|
| Doing Business As | MATLOCK VILLAGE FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY THOMAS PIC 214-893-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 31926) |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2018-06-16 |