NPI | 1346775046 |
---|---|
Doing Business As | COMMUNITY PHARMACY |
Entity Type | Organization |
Authorized Contact | BRANDON DANIEL ALLEN President 940-484-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31389) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2017-05-01 |
Last Update Date | 2021-07-29 |