NPI | 1437341732 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY ROBERT THOMPSON Owner/Pharmacist 318-343-7532 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: LA 1388-IR) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2007-08-10 |