| NPI | 1518008143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE WILSON ROGERS Owner 361-582-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 13532) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2025-05-05 |