| NPI | 1710725122 |
|---|---|
| Doing Business As | LARSA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | OMAR HANTOSH Pharmacy Department Manager 832-480-8495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-12-18 |