| NPI | 1790208833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JITEN PATEL Pharmacist In Charge 214-603-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 31517) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2018-12-07 |