| NPI | 1659364784 |
|---|---|
| Former Legal Business Name | MISSION PHARMACAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREENE VP, Managed Care 214-932-8270 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D0902282) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0028276B) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2008-04-01 |