| NPI | 1487324273 |
|---|---|
| Former Legal Business Name | REVELES CLINICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | RKES D STARLING Chief Executive Officer/President 817-846-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |