| NPI | 1245832245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA LYNN ADKISON Pharmacy Admin 936-634-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |