| NPI | 1710694609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIKEZIE IWUNDU Pharmacist In Charge 832-832-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2023-10-23 |