| NPI | 1841932324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DETRA HUBERT BOYKIN Owner/ Pharmacist In Charge 281-227-1010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-04-13 |