NPI | 1649781436 |
---|---|
Doing Business As | LAFAYETTE BONE & JOINT |
Entity Type | Organization |
Authorized Contact | MACKENZIE HAHN Ncpdp Coordinator 479-636-9702 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: LA 10732R) |
Enumeration Date | 2017-10-19 |
Last Update Date | 2017-11-15 |