| NPI | 1487372348 |
|---|---|
| Doing Business As | LOOP 12 LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TONI DANIELLE SMITH Owner 469-547-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-24 |