| NPI | 1407127194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE C SANDERS Managing Member 817-303-3695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27844) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |