| NPI | 1356363436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J ERNEST SIMS Director 972-490-2912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 19967) |
| 333600000X Pharmacy (Licence: TX 19967) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-01-12 |