| NPI | 1912752031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSEYI ITOYA Pharmacist 682-240-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |