| NPI | 1629861547 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | ADRIAN RODRIGUEZ Managing Partner 512-587-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |