| NPI | 1932330081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HOLLY Regional Director Net Rev & Reimb 512-324-3269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336I0012X Pharmacy Institutional Pharmacy (Licence: TX 26504) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2018-01-19 |