| NPI | 1073140026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA LAZANO Corporate Officer 832-932-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2021-03-21 |