| NPI | 1164061974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY WILSON CFO 281-785-8242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |