| NPI | 1235757881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIT THI TRAN NGUYEN Pharmacist In Charge 682-738-3099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |