| NPI | 1467567495 |
|---|---|
| Doing Business As | MEDICINE SHOPPE 1194 |
| Entity Type | Organization |
| Authorized Contact | MARGARET E DANOS Billing Supervisor 985-395-2694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA 2662-IR) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: LA 2662) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-03-07 |