| NPI | 1336605013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MWAMBO LUMA Pharmacist In Charge 832-805-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |