| NPI | 1780075986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIUS MARTIN Pharmacy Manager 214-331-2268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336N0007X Pharmacy, Nuclear Pharmacy (Licence: TX 26246) |
| Additional Taxonomies | 3336N0007X Pharmacy, Nuclear Pharmacy (Licence: LA PHY.006506-NR) |
| 3336N0007X Pharmacy, Nuclear Pharmacy (Licence: OK 99-5936) | |
| 3336N0007X Pharmacy, Nuclear Pharmacy (Licence: KS 22-10390) | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |