| NPI | 1215921267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA FORD Owner 713-799-1472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2021-02-25 |