| NPI | 1598162679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA SIMON Chief Operating Officer 512-244-4272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 26370) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2023-02-27 |