| NPI | 1962380584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL W AMOH Pharmacist In Charge 210-981-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-09-22 |