| NPI | 1689399362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA GUZMAN Managing Officer 936-224-5387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2024-08-06 |