| NPI | 1760428122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRENNAN PIC 972-294-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 24403) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-11-10 |