| NPI | 1962771733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALONDRIA SIMPSON Owner 713-661-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 28994) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2022-04-11 |