| NPI | 1598201220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX THOMSON Unit Director 254-776-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 57305) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |