| NPI | 1700309325 |
|---|---|
| Other Name | CENTENNIAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JACK DEAR Officer 214-357-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31520) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-05-31 |