| NPI | 1760815211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA TORRES PIC 915-532-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29220) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: TX 29220) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2024-03-19 |