| NPI | 1528479425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA NICOLE MUHAMMAD Pharmacist In Charge (PIC) 832-969-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29203) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2015-08-25 |