| NPI | 1871636738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LYNN JOHNSON Pharmacsit In Charge 806-743-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 06057) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2015-02-11 |