| NPI | 1417050303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D BULLARD Owner 903-465-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TX 15638) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-12-05 |