| NPI | 1831626019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK COEDROND COOPER Pharmacist In Charge 832-654-6588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |