NPI | 1386661130 |
---|---|
Doing Business As | BOLTON HEALTH MART |
Entity Type | Organization |
Authorized Contact | STEVEN E. YELLOTT Owner 225-343-4869 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-07-17 |
Last Update Date | 2013-02-10 |