| NPI | 1780552182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA MARIE FUEHRMANN Pharmacy Intern 210-289-6126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |