| NPI | 1326313404 |
|---|---|
| Doing Business As | MED-PRO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CYRENA JACKSON Owner/PIC 504-234-1056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA 6523) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2017-04-19 |