| NPI | 1639580418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF COCKERELL Managing Member 281-557-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 29268) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |