| NPI | 1881945970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJU ASTHAPPAN Pharmacist In Charge 386-290-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 28235) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |