| NPI | 1134418551 |
|---|---|
| Doing Business As | SUPREME RX |
| Entity Type | Organization |
| Authorized Contact | JOHN AUGUSTE Office Manager 832-243-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 27422) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2015-04-17 |