| NPI | 1467915819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOA PHAM Owner/ Pharmacist In Charge 469-268-1879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2021-11-16 |