| NPI | 1679868780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY APPLING Sole Member 940-395-6076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NM PH00003706) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2016-08-12 |