| NPI | 1770215592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH SMITH Director Of Healthcare Contracting 832-560-7063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 171W00000X Contractor | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-07-06 |