| NPI | 1346697521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUMA CANICE DURU Pharmacist 972-900-6539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 74524) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |