| NPI | 1174754840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO GARZA GONGORA Owner/PIC 210-494-4272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2019-06-26 |