| NPI | 1104981539 |
|---|---|
| Doing Business As | FORSHAGS DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | JAMES RANDALL STAFFORD Owner And PIC 985-839-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA 5316IR) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2010-11-23 |