| NPI | 1912001983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY RAGLAND PIC 512-970-7326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25203) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |