| NPI | 1316619653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARI A LALANDE Owner 512-541-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2022-12-21 |