| NPI | 1811273881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENTLEY FRED HAWLEY President 432-337-2361 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27702) |
| Enumeration Date | 2011-10-22 |
| Last Update Date | 2018-12-21 |