| NPI | 1215511530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE P. NGUYEN Assistant Manager, Pharmacy 936-446-5034 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-12 |