| NPI | 1851610802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J BAUMILLER Principal 469-248-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 26942) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2011-07-20 |