NPI | 1417074006 |
---|---|
Doing Business As | PRESCRIPTION COMPOUNDS |
Entity Type | Organization |
Authorized Contact | PATRICEA ANGELLE Pharmacist 225-766-9577 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 3904-IR) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |