| NPI | 1124818554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ROUX Vice President 832-971-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-09 |