| NPI | 1205819885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY DAVILA Vice President Owner 210-226-5293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 01055) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: TX 01055) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2012-12-04 |