| NPI | 1548728157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABIL HALLAK Managing Officer/PIC 469-473-5357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2022-11-15 |