| NPI | 1649851601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD JOHNSON CEO 713-423-3862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 261Q00000X |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2022-02-23 |