| NPI | 1801002001 |
|---|---|
| Other Name | QVL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFERY POLIAKOFF Owner 903-295-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: MS 05956026) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-06-16 |