| NPI | 1629528526 |
|---|---|
| Doing Business As | THE PHARMACY AT LSU |
| Entity Type | Organization |
| Authorized Contact | CHRIS JAFFURS Owner 865-671-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.007378-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2018-07-19 |