| NPI | 1457892028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WEBER Managing Officer 817-572-0009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 31941) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2024-11-12 |