| NPI | 1366536583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY RAY Pharmacist 972-264-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 05040) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-12-17 |