| NPI | 1134272644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DANIEL DUCK Owner/President 318-218-8564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2025-07-10 |