| NPI | 1407372311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH HO Managing Officer 214-618-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 31615) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2019-11-03 |