| NPI | 1194889576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HOLLY Regional Dir Net Rev & Reimb 512-324-3269 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336I0012X Pharmacy, Institutional Pharmacy (Licence: TX 01284) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2018-01-19 |