| NPI | 1396174892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUAN NGUYEN Vice President 972-372-6300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NE 550) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2018-03-30 |