| NPI | 1609697457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMOD PINNAMANENI Physician 936-637-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |