| NPI | 1487086401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY SILES Owner 409-838-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31752) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28679) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2019-06-25 |