| NPI | 1174217061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SPIKES Administrative Services COO Rdinator 318-556-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |