| NPI | 1619361243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE W. MARKS Owner/President 832-913-6905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |