| NPI | 1851693881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN O FISHER PIC 832-230-0169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2024-06-13 |