| NPI | 1730190240 |
|---|---|
| Doing Business As | LTC DISPENSARY LLC |
| Entity Type | Organization |
| Authorized Contact | HERMAN CROTWELL Chief Pharmacist Owner 225-665-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: LA 5128-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-12-21 |