| NPI | 1487263091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MACKEY-MITCHELL Administrator 281-240-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |