| NPI | 1184744344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY DWAYNE HARPER Pharmacist 512-452-9535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27870) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2012-03-13 |