| NPI | 1518397025 |
|---|---|
| Doing Business As | DANDY DRUG |
| Entity Type | Organization |
| Authorized Contact | STEVEN KUPER PIC/Owner 817-456-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28891) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |