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 |