| NPI | 1245955863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY WILLIAMS Owner 832-582-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2023-03-08 |