| NPI | 1548372568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LUNA Manager 830-773-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 20529) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 34092) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 20529) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-09-11 |