| NPI | 1417036393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS MCELFRESH Manager 214-579-9967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 26240) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2019-01-17 |