| 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 |