| NPI | 1275645129 |
|---|---|
| Doing Business As | MEDICAL CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SCOTT GEWIN Owner President 318-256-5658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.005210-IR) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-04-14 |