| NPI | 1821405937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L MCCLELLAND Pharmacist 936-788-3162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ S020655) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |