NPI | 1104634419 |
---|---|
Entity Type | Organization |
Authorized Contact | JODY R WELCHANS General Manager 210-227-7207 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2024-12-19 |
Last Update Date | 2024-12-19 |