| NPI | 1568565778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA RENSHAW Manager 972-981-8445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 15757) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2010-08-30 |