| NPI | 1750755914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE ELGENDY Director 832-777-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 30248) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |