| NPI | 1841688777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PORTER Owner 832-600-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 47718) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |