| NPI | 1578974663 |
|---|---|
| Doing Business As | IMIX RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LAN NGOC NGUYEN Pharmacist 817-617-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 29254) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |