| NPI | 1609936012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDY JONES Pharmacist Owner 318-322-0319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 15546) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: LA 4928 IR) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-02-15 |