| NPI | 1942846449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE SHIMFARR Corporate Officer 936-703-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |