| NPI | 1538633326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON ALBRECHT Treasurer And VP Of Compliance 214-947-2504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |