| NPI | 1376638999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PIAZZA Staff 214-345-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 03320) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-11-11 |