| NPI | 1881021871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM ALRAZZAQ Owner 346-224-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 28724) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 28724) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2016-03-18 |