| NPI | 1942249321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM PURSER Director Of Pharmacy 806-791-7410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NM PH00004378) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2018-07-19 |