| NPI | 1538263595 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY OF WEST MONROE |
| Entity Type | Organization |
| Authorized Contact | KELLEY MITCHELL Charge Rph 318-387-8933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.001629-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2016-06-22 |