| NPI | 1639727076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GABRIEL CRAFT Officer 281-762-2307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-12-08 |