| NPI | 1083740492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MOORE Pharmacist Owner 512-454-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 17520) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-03-07 |