| NPI | 1104345644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIE HARROCH Director Of Finance 713-590-0640 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |