| NPI | 1760613640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS TRAYLOR Owner 281-967-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 26650) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2018-07-19 |