| NPI | 1679877435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMEINE A. UKHUN Owner/Pharmacist In Charge 903-905-4961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 27310) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2016-01-13 |