| NPI | 1538683875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY WILLIAMS Officer 832-953-2926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 31443) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |