| NPI | 1841232410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BRAST VP 972-644-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 17475) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2025-09-11 |