| NPI | 1154725356 |
|---|---|
| Doing Business As | BOLTON HEALTH MART |
| Entity Type | Organization |
| Authorized Contact | STEVEN YELLOTT Owner 225-343-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY006956-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2015-02-04 |