| 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 |