| NPI | 1093017337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY ETTA Pharmacist In Charge 713-847-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31822) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2018-05-03 |