| NPI | 1891468526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL RAAD President 281-202-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2022-03-10 |