| NPI | 1467512434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | O HOUSTON Owner 517-476-7338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 3355) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-09-04 |