NPI | 1659636850 |
---|---|
Doing Business As | OMEGA PHARMACY |
Entity Type | Organization |
Authorized Contact | ANTHONY OGBOLU Md/PIC 214-676-6531 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 28258) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2012-07-12 |
Last Update Date | 2017-02-14 |