| NPI | 1568755791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY L BENSON Pharmacist In Charge 832-264-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27501) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-07-25 |