| NPI | 1346713658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJA CALVANISE MATTHEWS Admin Assistant 214-478-8564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |