| NPI | 1407834088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM PURSER Director Pharmacy 806-791-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 21415) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 21415) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2010-07-08 |