| NPI | 1841210606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD MICHEL CEO 903-630-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 26183) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-12-19 |