| NPI | 1952658643 |
|---|---|
| Doing Business As | RAST RX |
| Entity Type | Organization |
| Authorized Contact | TAMMIE MISKIMINS Manager, Pharmacy Licensing/Contrac 817-572-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29579) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2016-09-22 |