| NPI | 1447357348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORVILLE WAYNE WEISS Pharmacist In Charge 972-225-7153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 02255) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-07-23 |