| NPI | 1568577716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE COHEN Owner/President 361-573-2476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 01950) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-03-27 |