| NPI | 1194069807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A AUBUCHON Owner/Pharmacist 731-407-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2016-02-26 |