| NPI | 1457494353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P WILSON Owner 806-355-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 12662) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2013-06-03 |