| NPI | 1861922726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALINA DAVIS Director Of Managed Care 972-521-7372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: TX 26699) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2025-01-06 |