| NPI | 1528293867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LARBIE Pharmacist In Charge 214-528-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2011-01-28 |