| NPI | 1598215840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONNY VALENTINE Pharmacist In Charge 318-795-9966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 021693) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |