| NPI | 1477397628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALID JOSE JAMALEDDIN Pharmacy Manager 512-215-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2024-11-26 |