| NPI | 1366572240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL R CLEMONS R Ph 972-390-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 15450) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-03-07 |