| NPI | 1609986116 |
|---|---|
| Doing Business As | PHOENIX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA WANN Manager 337-239-3421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 891IR) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-09-02 |