NPI | 1154459816 |
---|---|
Doing Business As | COUNTY MARKET PHARMACY |
Entity Type | Organization |
Authorized Contact | CHARLES DEDMON CFO 318-388-1884 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 03618012) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2010-03-02 |