NPI | 1194245837 |
---|---|
Entity Type | Organization |
Authorized Contact | KAYE WALLER Accounting Manager 318-412-0349 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.007500-IR) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2017-06-23 |