| NPI | 1861182339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WOOLDRIDGE CFO 325-747-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2025-03-14 |