| NPI | 1659820108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN HAI NGUYEN President 713-854-6105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2019-08-12 |