| NPI | 1649291600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HOLLIDAY Pharmacist In Charge 210-358-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TX 19609) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |