| NPI | 1710040613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX HYUK PARK Manager 903-526-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TX 24082) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-02-25 |