| NPI | 1396144531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GRAVES President/PIC 214-240-6208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-21 |