| NPI | 1851388508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM EASLEY Owner/Pharmacist 903-935-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 00352) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 00352) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2010-03-12 |