| NPI | 1174040612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE A FERGUSON VP Risk Mgmt. & Litigation 713-242-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 31545) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2021-11-29 |