| NPI | 1508152125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAO QUOC TO Pharmacist/Vice President 832-618-0295 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 41295) |
| 183500000X Pharmacist | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2025-06-23 |