| NPI | 1831312297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE AFALAVA VP 210-365-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 26389) |
| Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: TX 26389) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2011-11-15 |