NPI | 1073742722 |
---|---|
Doing Business As | MEDICINE SHOPPE |
Entity Type | Organization |
Authorized Contact | BRANDY FREED Owner/Pharmacist 337-783-9084 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: LA 6171) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 6171) | |
3336C0004X Pharmacy, Compounding Pharmacy (Licence: LA 6171) | |
Enumeration Date | 2009-07-02 |
Last Update Date | 2016-08-18 |