| NPI | 1194249052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STASHA SCRUGGS Officiaiting Manager 713-933-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27166) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |