| NPI | 1407944382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J MARTIN President 936-544-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 04623) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 4623) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-12-10 |