| NPI | 1457162067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUY-NGAN THI HUYNH Managing Member 682-708-3499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |