| NPI | 1083629687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAO ANH NGUYEN Pharmacist In Charge 281-580-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 16634) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |