NPI | 1205534039 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDY SMITH Credentialing COO Rdinator Ii 281-824-1480 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2023-02-21 |
Last Update Date | 2024-03-26 |