| NPI | 1780333229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD BROOKER Senior Regulatory Counsel 469-592-2010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |