| NPI | 1326239054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L. POLZIN Executive Director 361-582-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 13921) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2008-11-21 |