| NPI | 1801118922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAETITIA ANDIN FOMBON Pharmacist In Charge 214-837-9976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 26800) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2015-03-24 |