| NPI | 1093016362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WIGGINS III Manager 281-997-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 26991) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-08 |