| NPI | 1588394605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL AMOH PIC 210-981-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2025-03-14 |