| NPI | 1407917495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BAKER Pharmacy Owner 713-472-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 22808) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-01-20 |