| NPI | 1245736297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA LYNN MANSON Owner/Managing Officer 713-516-2743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 31918) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2019-11-07 |