| 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 |