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 |