| NPI | 1154736064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WALDRON ALLUMS Pharmacist In Charge 318-553-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: LA cds.039623) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |