| NPI | 1639461320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN GILCHRIST Registered Pharmacist 318-445-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 13324) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |