| NPI | 1851838387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MULVANY Owner / PIC 469-487-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31205) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2018-03-06 |