| NPI | 1154712974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA C MCMULLIN Owner, Vice President, PIC 281-251-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 29782) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |