| NPI | 1619448248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGADEESH JANJANAM Authorized Official 817-769-7941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2019-10-31 |