| NPI | 1205062445 |
|---|---|
| Doing Business As | AZTECA PHARMACY #2 |
| Entity Type | Organization |
| Authorized Contact | GEORGE BALANDRAN Pharmacist In Charge 832-607-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 26490) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-19 |