NPI | 1780307397 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE COON Pharmacist 936-232-8959 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2022-09-20 |
Last Update Date | 2023-07-21 |