| NPI | 1881109734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH HOANG Pharmacist In Charge 469-888-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31750) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2019-04-11 |