| NPI | 1841016086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS STAMASTIS Managing Officer 469-825-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |