| NPI | 1528431418 |
|---|---|
| Doing Business As | VILLAGE LANE APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | LESLI HOLT Pharmacist In Charge 817-717-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 30288) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |