NPI | 1336225002 |
---|---|
Entity Type | Organization |
Authorized Contact | JASEN TATE CREEK Pharmacist In Charge 903-792-1721 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 23886) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2012-08-27 |