| NPI | 1467789859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN JOYCE DOUGLAS Pharmacist 713-461-3607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 333600000x) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |