| NPI | 1194887349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MELISSA QUIJAS Pharmacist 915-772-5331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 19289) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-05-20 |