NPI | 1225178387 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ROBERT BEATTY COO, Rrmc 318-769-3156 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 2766 IR) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2013-12-19 |