| NPI | 1588764880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BISRAT TEKLE Pharmacist In Charge 936-321-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 29436) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-04-21 |