| NPI | 1467752287 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | GOPESH PATEL Pharmacist In Charge 469-236-2977 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27200) | 
| Enumeration Date | 2010-10-26 | 
| Last Update Date | 2010-10-26 |