| NPI | 1912094111 |
|---|---|
| Doing Business As | LANCASTER ADULT OP DCMHMR |
| Entity Type | Organization |
| Authorized Contact | MARK EDERY Dir 214-743-6180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TX 4093) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2017-03-06 |