| NPI | 1679910913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO LERMA Managing Officer 210-714-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2020-01-07 |