| NPI | 1740340702 |
|---|---|
| Doing Business As | DALLAS EXPRESS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JACOB TYLER WALLACE Pharmacy Manager 704-922-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 09048) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2021-09-21 |