| NPI | 1306535307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER QUINTANA Owner 936-444-5027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |