| NPI | 1518527977 |
|---|---|
| Former Legal Business Name | PAPA'S FARMACIA VIA LUZIANNA LLC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANNE SCHATZLE SPRAGUE Owner, President, PIC 225-243-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-09-03 |