| NPI | 1770952491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUNTELLE J ROBINSON Officer 832-940-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 30070) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2024-12-17 |