| NPI | 1447201397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MAGLIOLO Director Of Pharmacy 903-297-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 22535) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-11-23 |