| NPI | 1912416876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONNE COIMBRA FONSECA Owner 832-549-3935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND Phar567) |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2023-01-30 |