| NPI | 1528584422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA WILSON Rx Audit & Compliance Specialist 806-791-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2020-04-27 |