| NPI | 1740178722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES O OJEVWE Pharmacy Manager 979-285-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-26 |