| NPI | 1346292562 |
|---|---|
| Doing Business As | QVL PHARMACY 144 |
| Entity Type | Organization |
| Authorized Contact | JEFFREY ROSS POLIAKOFF Chief Executive Officer 903-295-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 25055) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |