| NPI | 1659780302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIMAL BHAKTA Managing Member 972-839-0724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 29403) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2021-01-10 |