| NPI | 1871019232 |
|---|---|
| Other Name | LEWISVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JUSTIN HART Officer 817-583-0744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31524) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2018-01-24 |