| NPI | 1992867949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DE LANGE Pharmacist 214-391-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 13464) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-03-10 |