NPI | 1699872523 |
---|---|
Doing Business As | LOCKE DRUG STORE INC |
Entity Type | Organization |
Authorized Contact | JAMES BYRD PIC Owner 662-837-7177 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00504011) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-09-20 |
Last Update Date | 2012-03-15 |