| NPI | 1780727404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE GARTENHAUS Asst. Chief Pharmacist 817-272-2770 |
| Organization Subpart ? | |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: TX 06665) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 06665) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-07-07 |