| NPI | 1720357221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORY UZUNMA NOSIKE PIC 713-778-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 27832) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 27832) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy (Licence: TX 27832) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: TX 27832) | |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2021-09-27 |