| NPI | 1619094398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR EFRAIN DE LA ROSA CEO Owner 956-968-8995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2025-09-11 |