| NPI | 1972912418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS ADLAKHA Pharmacy Manager 512-377-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 55334) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: TX 55334) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |