| NPI | 1326152315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J HEALY Owner 903-593-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 25664) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-04-29 |