| NPI | 1396523387 |
|---|---|
| Doing Business As | CRYSTAL LIFE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | HELEN EKUTTI Manager 972-449-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2024-01-28 |