| NPI | 1588036552 |
|---|---|
| Doing Business As | UNIVERSITY HEALTH SHREVEPORT |
| Entity Type | Organization |
| Authorized Contact | JASON LAFITTE Director 318-675-5248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA PHY007202IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-11-20 |