| NPI | 1952639445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HENRIKSEN CEO 832-770-8194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 29321) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2015-12-08 |