| NPI | 1326176082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BORSELLINI Owner 409-762-8959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX TX04963) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-10-16 |