| NPI | 1649374604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM NGO PIC 281-498-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 19623) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2016-12-01 |