| NPI | 1467811042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTIONETTE HOLMES Owner 281-969-7943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 30390) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-05-27 |