| NPI | 1447814306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA DENOBREGA Officer 409-333-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2020-12-23 |