| NPI | 1477505618 |
|---|---|
| Doing Business As | QVL PHARMACY 102 |
| Entity Type | Organization |
| Authorized Contact | GARY CHAD COLLINS CEO 214-624-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 23909) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-06-17 |