| NPI | 1689702334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LUKAS Pharmacist 903-792-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 19507) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |