| NPI | 1639619653 |
|---|---|
| Doing Business As | LIL BOOS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT MADDOX IV Owner 318-793-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.007439-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2023-07-18 |