| NPI | 1740591106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT AUTREY Owner/Rph 956-548-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 26981) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-12-17 |