| NPI | 1093557605 |
|---|---|
| Doing Business As | PHARRMACY |
| Entity Type | Organization |
| Authorized Contact | VICTORIA Y AJAYI PIC 832-725-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |