| NPI | 1770094013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL BALONWU Pharmacist In Charge 713-790-1222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 27494) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2021-02-08 |