| NPI | 1578010583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINH CONG BUI Pharmacist 318-640-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: LA 017879) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |