| NPI | 1427426196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHURI VEMURI Pharmacist In Charge 940-366-8380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 30200) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-11-13 |