| NPI | 1841738846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA ALEXANDER PIC 888-741-4034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 31671) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2020-07-08 |