| NPI | 1821082900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRVANA HIGHTOWER President, Pharmacist 281-893-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1152930001) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 17591) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2007-11-29 |