| NPI | 1457662876 |
|---|---|
| Doing Business As | LEWISVILLE MEDICAL PHARMACY |
| Doing Business As | LUXE MED COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | FOLARIN AJIJO Director Of Pharmacy Services 972-906-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 26992) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2021-02-01 |