| 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 |