NPI | 1306015177 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSE DE LA CRUZ Pharmacists/Owner 210-226-3699 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX 11492) |
Enumeration Date | 2008-02-26 |
Last Update Date | 2008-07-29 |