| NPI | 1093205528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MORENO Owner 832-228-6169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 32014) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |