| NPI | 1518360965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS OMEH Managing Employee 832-606-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29538) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2023-06-07 |