| NPI | 1689030686 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DARLA W CORLEY Managing Member 318-442-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.007236-IR) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |