| NPI | 1932594272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORDECHAI EDERY Director Of Pharmacy 214-743-6180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: TX 29904) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2018-07-19 |