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 |