| NPI | 1326053901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE D COLE President 318-263-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 4682 IR) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |