| NPI | 1912272493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DALEY President 817-274-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TX 28059) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2025-08-28 |