| NPI | 1689318339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR ALEJANDRO FUENTES CURIEL Pharmacist 512-350-4836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |