| NPI | 1487737565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTY MCKAY Co Owner 318-776-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: LA PHY005638IR) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-10-11 |