| NPI | 1699215160 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHEEBA THOMAS PIC/ Manager 281-815-2352 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31291) | 
| Enumeration Date | 2017-03-03 | 
| Last Update Date | 2017-03-03 |