| NPI | 1528055324 |
|---|---|
| Doing Business As | INNOVATIVE CARE PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | BRAD LANHAM President/CEO 817-328-6421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: ID 2304LS) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2013-05-07 |