| NPI | 1841542107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMSON BAHTA President 214-732-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |