| NPI | 1861681058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE I GUTIERREZ Owner/Pharmacist 512-476-4751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 05616) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |