| NPI | 1801985593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JC JACKSON Pharmacy Manager 713-723-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 27898) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-03-08 |