NPI | 1952485153 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA TREBERT Owner 817-284-8280 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 23109) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2020-08-22 |