NPI | 1356356992 |
---|---|
Doing Business As | STEWARTS DRUG STORE |
Entity Type | Organization |
Authorized Contact | CLARENCE GOODREAU Owner 337-824-2311 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: LA PHY.5660-IR) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2011-12-15 |