| NPI | 1902297021 | 
|---|---|
| Doing Business As | CHAMPS PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | RAYMOND HERNANDEZ Owner 210-614-1212 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29709) | 
| Enumeration Date | 2015-02-11 | 
| Last Update Date | 2015-02-11 |