| NPI | 1053472001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL L RIGER President CEO 915-532-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: TX 003060) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2009-02-05 |