NPI | 1750392395 |
---|---|
Doing Business As | BUCKTOWN PHARMACY |
Entity Type | Organization |
Authorized Contact | TIMOTHY DWYER Owner 504-835-6337 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA C005674IR) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2009-03-13 |