| NPI | 1639210057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT IFEANYI CHUKWUKELU Pharmacist In Charge 972-247-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 15644) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2014-09-17 |