| NPI | 1730389271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J DALEO Pharmacist In Charge 409-833-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 10403) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |