| NPI | 1063977452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD ZIMMERMAN Pharmacist In Charge 281-303-5859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2019-02-10 |