| NPI | 1093728313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE STOCKTON Co Owner 318-442-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2013-04-03 |