| NPI | 1790923043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DARLENE DURDEN Pharmacist In Charge 713-681-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 34302) |
| Enumeration Date | 2009-01-24 |
| Last Update Date | 2009-01-24 |