| NPI | 1356750087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABAYOMI ANTHONY GEORGE Manager 956-423-1426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31880) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2020-09-30 |