| NPI | 1508970591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT ROZNOVSKY President 281-664-8829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 11739) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2017-10-01 |