| NPI | 1982125308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE D JONES Director 832-303-1264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-07-21 |