| NPI | 1679581292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ROGERS Office Administrator 806-358-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31655) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-01-31 |