| NPI | 1447354402 |
|---|---|
| Doing Business As | MEDICS COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CLOVIS BURCH President 318-865-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.003693-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2017-01-13 |