| NPI | 1386951150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MITCHELL Pharmacist 254-598-3541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: TX 26916) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-11-04 |