| NPI | 1629836556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HUIZAR RODRIGUEZ Executive Director Of Pharmacy 210-743-4024 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-13 |