| NPI | 1003422650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVESTER OSA-IYARE Pharmacist In Charge 281-717-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2021-11-19 |