| NPI | 1528174208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEISHA MCHUGH Owner Manager Pharmacist 318-397-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: LA 5722) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |