| NPI | 1265983126 |
|---|---|
| Doing Business As | MEDICINE SHOPPE OF SLIDELL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM P GOMILA Owner/Pharmacist 985-643-7894 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: LA 7159) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |