| NPI | 1093056129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA WORSHAM Owner 281-446-3069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2018-12-14 |