| NPI | 1740530013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMA TOBIA Pharmacist/Manager 281-827-4652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL PH26113) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-11-13 |