| NPI | 1861792160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUANN HAYES President 817-239-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 27223) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2016-07-08 |