| NPI | 1649040965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY COOPER Administrator 210-998-2671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336N0007X Pharmacy, Nuclear Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |