| NPI | 1851699797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUNDRELL HAYES Pharmacist In Charge 281-975-7364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2012-03-05 |