| NPI | 1255986220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL MUNIZ Managing Member 956-230-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 261QP2300X Clinic/Center, Primary Care | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2022-09-09 |