| NPI | 1255803953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE W CLIFFORD Pharmacist In Charge/Owner 713-302-5773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2020-10-19 |