| NPI | 1902791452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA QUIROZ Pharmacist In Charge 976-696-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-10-06 |