| NPI | 1174102586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT OMOLEME Pharmacist In Charge/Owner 281-236-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-04 |
| Last Update Date | 2022-06-10 |