| NPI | 1255685004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATIK PATEL Pharmacist 512-705-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 10694) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-11 |