| NPI | 1427164730 |
|---|---|
| Doing Business As | MEDICINE SHOPPE 1193 |
| Entity Type | Organization |
| Authorized Contact | MARGARET E DANOS Billing Supervisor 985-384-3071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: LA 2661) |
| 333600000X Pharmacy (Licence: LA 2661IR) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-03-07 |