| NPI | 1104578277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIEFIOK INNOCENT USORO Administrator 832-419-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |