| NPI | 1447786900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGAN JACOBS PIC/Managing Member 210-404-4538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31384) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |