| NPI | 1336634385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE SARAH FISCHER Owner 830-885-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 32128) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 32128) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |