| NPI | 1720545221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFRED I OBASI PIC/Owner 956-568-5605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2021-04-26 |