| NPI | 1346649258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBRAMANIAN PALANISAMY Pharmacy Manager 972-542-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29426) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2021-05-03 |