| NPI | 1336248376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L MILES Pharmacist Owner 903-796-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 01282) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 11264) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-09-11 |