| NPI | 1841488053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVIS Owner 432-682-2519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 25760) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2009-04-13 |