| NPI | 1447856604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILSON Managing Officer 281-915-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332100000X Department of Veterans Affairs (VA) Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2021-01-27 |