| NPI | 1710788401 |
|---|---|
| Doing Business As | PROPRIUM SPECIALTY APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | DENISE CANDLER SAVANT CFO 318-213-4960 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |