| NPI | 1790254357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACQUEL SHANTA HALL Managing Officer 281-741-5289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2026-03-30 |