| NPI | 1770850521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA HERNANDEZ Pharmacist In Charge 281-693-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: TX 27715) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2012-02-09 |