| NPI | 1497102982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CARVAJAL Dirctor Of Pharmacy 210-977-1852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 30844) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2021-04-21 |