| NPI | 1477504033 |
|---|---|
| Doing Business As | MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | ROGER A GRAYSON Owner/Pharmacist 318-323-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA 2609-IR) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: LA 2609-IR) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-03-07 |