| NPI | 1114967866 |
|---|---|
| Doing Business As | FAMILY DRUG STORE OF JENNINGS |
| Entity Type | Organization |
| Authorized Contact | LISA HEBERT Owner 337-824-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.005988-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2018-07-19 |