| NPI | 1023156395 |
|---|---|
| Doing Business As | WALTZ PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PHIL H WALTZ Owner Registered Pharmacist 318-255-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 3935 1R) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2022-03-25 |