| NPI | 1841569027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN KUYKENDALL Manager 281-491-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27812) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2018-08-06 |