| NPI | 1821120981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA C BYERLY PIC/VP 409-866-6271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2024-11-08 |