| NPI | 1871775833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE LEWIS President 972-303-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 25784) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-05 |