| NPI | 1548640584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND IBANEZ Pharmacist/President 210-696-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 29973) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |