| NPI | 1013311182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJU G VARUGHESE Pharmacist In Charge 956-579-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52550) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |