| NPI | 1477598514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY V ABELDT Owner 903-533-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 21015) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2021-09-21 |