| NPI | 1235294729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMITA WYATT Pharmacist 713-633-3362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 16512) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 16512) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2011-01-31 |