| NPI | 1134091127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK E HARPER Officer, Owner 512-518-4690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-12-18 |