| NPI | 1952759938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVEK PURANI Owner 972-330-6395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: TX 51422) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 51422) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |