| NPI | 1265538664 |
|---|---|
| Doing Business As | PMO PHARMACY MANAGEMENT SHREVEPORT |
| Entity Type | Organization |
| Authorized Contact | JANET D GIBBS Pharmacist In Charge 318-429-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 5223) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 5223) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-02-01 |