| NPI | 1104044254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL GREENLEAF Pharmacist In Charge 281-448-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 24166) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-02-04 |