| NPI | 1851682033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DENISE NOWLIN Manager 281-991-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 27443) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2019-02-06 |