| NPI | 1932896362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES H LEE Owner/PIC 936-693-2506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-12-28 |