| NPI | 1497758361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MICHAEL REEVES President CEO 817-878-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 13285) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |