| NPI | 1457398794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL GUAJARDO President/Owner 210-225-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25002) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0028647) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-07-23 |