| NPI | 1699950972 |
|---|---|
| Doing Business As | TRAIL CREEK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROB ZACHARIAH Partner 817-684-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 28347) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2015-06-11 |