| NPI | 1689039711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | V KAREN FLINN VP 361-579-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MS E-13632) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MS E-13632) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS E-13632) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MS E-13632) | |
| 3336I0012X Pharmacy, Institutional Pharmacy (Licence: MS E-13632) | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |