| NPI | 1508428046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAN MELONSON Clinical Pharmacist 409-284-1938 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |