| NPI | 1780878397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY OLIVER President 210-854-7274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 20086) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 20086) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2009-07-02 |