| NPI | 1770861668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOYD Manager 214-316-3829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27439) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2012-02-03 |