| NPI | 1669521316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BARRY DOPSON Managing Member 318-345-2891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-04-09 |