| NPI | 1356075469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRACHI K PATEL Managing Officer/Owner 281-864-1184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2023-10-31 |