| NPI | 1427489574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON M HOLLE Manager 512-462-3627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28906) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 28906) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 28906) | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2014-02-18 |