| NPI | 1639489990 |
|---|---|
| Doing Business As | DAVID RAINES COMMUNITY HEALTH CENTERS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIE WHITE CEO 318-227-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA PHY006318IR) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2016-12-22 |