| NPI | 1619143732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM D COUSINEAU VP Pharmacy Operations 903-877-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |