| NPI | 1467562330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL WEIS ARON Owner 318-323-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 28-IR) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-11-22 |