| 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 |