| NPI | 1841644465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHUPESH GARG President 915-400-7993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 31012) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2018-10-19 |