| NPI | 1902918816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MASON PENNY Owner 281-837-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 22062) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-12-10 |