| NPI | 1164534020 |
|---|---|
| Doing Business As | MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | KEVIN DENOUX Owner Pharmacist 225-769-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: LA 1874IR) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-03-07 |