| NPI | 1194801159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONG CHIOU Owner Rph 256-247-5441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 108525) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2011-01-12 |