| NPI | 1811902463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ROGERS Owner 432-697-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 19944) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2010-03-23 |