| NPI | 1952071334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR ALEJANDRO FUENTES CURIEL Pharmacist/PIC 512-350-4836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |