| NPI | 1487161220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA OROSCO Owner 210-862-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 31782) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2021-08-16 |