| NPI | 1508396656 |
|---|---|
| Doing Business As | HEADRICK'S DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | BENNIE G OWENS Owner/Pharmacist 318-697-4381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 452-ir) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |