| NPI | 1659790566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY GARCIA Owner 956-844-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |