| NPI | 1740702950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA LEIGHT Pharmacist In Charge 832-270-1626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-07-21 |