| NPI | 1689734949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD WESTMORELAND Manager 512-398-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 00151) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2020-08-22 |