| NPI | 1881019826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE MCLEAN Co Owner, PIC 806-350-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 29520) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2021-05-28 |