| NPI | 1073112272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC BOOM President & CEO 713-441-4632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |