| NPI | 1407949217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE CANTU Owner 956-383-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 00898) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |