| NPI | 1225525041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMIE L THOMAS Pharmacy Manager 832-466-8267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31921) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |