| NPI | 1932406782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAAMAN GARZA Manager 956-746-9805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2012-02-13 |