| NPI | 1164842076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR SAKKAL Pharmacist In Charge 832-724-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: TX 29204) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 29204) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |