| NPI | 1578677555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONNY VALENTINE Owner 318-872-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA 2720) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2011-01-28 |