| NPI | 1770926685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ MILAN CHHADUA Owner 214-422-2598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 28510) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2023-08-14 |