NPI | 1447706700 |
---|---|
Entity Type | Organization |
Authorized Contact | LASHUNDA ROSETTE GREEN Pharmacist/Owner 337-351-0822 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2016-08-28 |
Last Update Date | 2016-11-10 |