| NPI | 1801937487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J. KOMUVES Pharmacist In Charge 214-618-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 32371) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |