| NPI | 1205961448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER O. NJIGHA Pharmacist In Charge 281-580-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 25355) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |