| NPI | 1457713604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJU VARUGHESE Pharmacy Manager 956-412-8362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 55696) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2016-03-27 |