NPI | 1689248585 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELICA OSUAGWU Pharmacy Manager 512-566-4468 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2021-05-14 |
Last Update Date | 2021-09-10 |