| NPI | 1699873190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMAS IZAGUIRRE Owner 956-726-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 16120) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 16120) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-08-10 |