NPI | 1518456417 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCO MACIAS Technician 512-351-9139 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31984) |
Enumeration Date | 2018-05-07 |
Last Update Date | 2018-05-07 |