| NPI | 1215151956 |
|---|---|
| Doing Business As | PARAGON DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | RUTH GUIDRY Owner Trustee 337-527-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: LA 3275IR) | |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |