| NPI | 1558382515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THOMPSON Executive Director 254-752-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: TX 15399) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-03-05 |