| NPI | 1811909559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN RIEWE PIC / Manager 361-855-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 313) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |