| NPI | 1245765445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVASA TALLA Managing Member 956-621-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31376) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 31376) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2018-03-31 |