| NPI | 1659770048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MBEI ENOH Owner 832-582-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TX 29442) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2023-02-17 |