| NPI | 1942639935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE W ROGERS Owner 361-894-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28879) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2023-10-30 |