| NPI | 1447775820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CUONG NGUYEN Manager 469-231-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-07-21 |