| NPI | 1629138490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR A EHIEMUA Pharmacist In Charge 713-266-5425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 12275) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: TX 12275) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-10-10 |