| NPI | 1699173849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNG LAI Pharmacist In Charge 469-909-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 30060) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 47960) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2018-03-17 |