| 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 |