| NPI | 1184070096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVAN GONZALEZ Pharmacist In Charge 806-679-4205 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-05-09 |