| NPI | 1043032428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SMITH WILLIAMS PIC 210-748-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2025-04-30 |