| NPI | 1790140663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL GAMBOA Pharmacist In Charge 806-468-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 56865) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |