| NPI | 1811523905 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LAURA L CANTU Managing Officer/Owner 281-762-2020  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy | 
| Enumeration Date | 2020-03-20 | 
| Last Update Date | 2022-01-04 |