NPI | 1780265694 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ADAMS Owner 832-460-9003 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2021-04-21 |
Last Update Date | 2022-12-05 |