| NPI | 1699166389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HOLLY Regional Director Net Rev & Reimb 512-324-3269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 16884) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2018-01-19 |