| 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 |