| NPI | 1255827986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA ONG Project COO Rdinator 866-966-4625 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 32146) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |