| NPI | 1881543627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALID JOSE JAMALEDDIN Pharmacy Manager 512-215-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2026-01-26 |
| Last Update Date | 2026-01-26 |