| NPI | 1447523584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ CHACKO Owner 972-369-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 27904) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-05-14 |