| NPI | 1548616998 |
|---|---|
| Doing Business As | MANDEVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MALCOLM ARMSTRONG President/Pharmacy Mgr. 985-778-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.007316-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-07-07 |