| NPI | 1154435147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAI PHAM Owner 281-257-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25060) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-07-10 |