| NPI | 1780971911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW RATEMO Manager 713-459-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 27537) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2015-10-28 |