NPI | 1376829358 |
---|---|
Entity Type | Organization |
Authorized Contact | GLORIA ELIZABETH DAVIS-BRACKINS Consultant Pharmacist/Owner 281-467-8198 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 33536) |
Enumeration Date | 2011-10-23 |
Last Update Date | 2011-10-23 |