| NPI | 1922182351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ISIGUZO OCHULOR Assist Administrator 972-384-1476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 36310) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |