| NPI | 1073858288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY BENSON Managing Officer 832-264-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 28357) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28357) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2022-09-30 |