| NPI | 1174758007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE GINGRICH Managing Partner 281-232-3940 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 28026) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2015-04-02 |