NPI | 1912950536 |
---|---|
Doing Business As | QVL PHARMACY #222 |
Entity Type | Organization |
Authorized Contact | GARY CHAD COLLINS CEO 214-624-3050 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 5449RC) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-05-17 |
Last Update Date | 2014-06-17 |