| NPI | 1295341147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN REDDING Owner/Pharmacist 281-809-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2021-04-30 |