| NPI | 1245371012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS FABIAN VELA Manager 956-668-8352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 23321) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-07-14 |