| NPI | 1861532368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOHANNES BEREHANE Owner (PIC ) 915-590-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 19194) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |