| NPI | 1114596905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY EJIMADU Pharmacist In Charge 832-582-6247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-07-08 |