| NPI | 1861419343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MANNING NEALE President 469-635-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 16881) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 16881) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-08-05 |