| NPI | 1548271653 |
|---|---|
| Doing Business As | EARL K LONG MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | NIKKI LEE Pharmacy Director 225-358-4826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: LA PHY.004380-IRX) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-02-13 |