| NPI | 1336243054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN MOTE Vice Pres./Chief Revenue Officer 210-358-2895 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 23267) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-11-29 |