NPI | 1255673281 |
---|---|
Entity Type | Organization |
Authorized Contact | TYSHON NOBLES Owner 832-229-1191 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28400) |
Enumeration Date | 2013-03-16 |
Last Update Date | 2013-03-16 |