| NPI | 1508161910 |
|---|---|
| Doing Business As | LIVERNOIS RX |
| Doing Business As | IMPRIMISRX |
| Entity Type | Organization |
| Authorized Contact | ROBERT G HAYWOOD President 972-930-5254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27324) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 27324) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2023-03-07 |