| NPI | 1912293705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD REA CHRYSLER President/CEO 806-379-7126 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 27608) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX FP2901848) |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX H0183883) | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2012-09-20 |