| NPI | 1801965991 |
|---|---|
| Doing Business As | MOODY OUTPATIENT CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EDMUNDO CASTANEDA EVP & COO 214-590-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TX 14688) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2024-06-03 |