NPI | 1255463642 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON METYKO Outpatient Pharmacy Manager 409-772-7127 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 06008) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2020-08-22 |