| NPI | 1205420478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN EMEAKOROHA Managing Officer 832-228-2072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-10-05 |