| NPI | 1457848004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE PENN Managing Member/CEO 972-394-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 802975922) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2019-02-23 |