| NPI | 1891214524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DUFFY PIC 806-749-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 31594) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2024-09-16 |