| NPI | 1912913310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN ERIC SAMS Vice President 903-758-6164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 1028) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-07-14 |