| NPI | 1962602060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFRY DOBBS COCKERELL Administrator 281-481-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 24357) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |