| NPI | 1447258140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE W. SMITH Administrator/CEO 318-798-4539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA C004738-IR) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2015-09-25 |