| NPI | 1538908215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINE TANJONG Pharmacist In Charge / Owner 832-616-9537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2025-07-04 |