| NPI | 1497363741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOHN KOMUVES Pharmacist In Charge/ Co Owner 972-390-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-11-03 |