| NPI | 1477742385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KELLY ONEIL Pharmacist In Charge 512-990-5226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 13613) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 13613) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |