| NPI | 1336287291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAM T LY President 956-544-2059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 24980) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 24980) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-07-14 |