| NPI | 1063811339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL E HENRIKSEN CEO 832-770-8183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006394A) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |