| NPI | 1457427916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARLISLE CLEMENT President 903-885-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 16923) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 20269) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |