| NPI | 1417295965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE OSENI Pharmacist In Charge/Owner 817-771-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 28409) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |