| NPI | 1710616222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALISTER JOSEPH DRUMMOND Pharmacist In Charge 512-327-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2025-07-02 |