| NPI | 1861973562 |
|---|---|
| Doing Business As | HEALOGIX RX |
| Entity Type | Organization |
| Authorized Contact | NATHAN PHAN Owner 214-679-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |