| NPI | 1962834762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BRYAN SMOCK CEO/Owner 214-765-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 28673) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2024-05-20 |