NPI | 1750686085 |
---|---|
Doing Business As | OPEN DOOR PHARMACY |
Entity Type | Organization |
Authorized Contact | TENA PARKER Owner/PIC 225-573-4050 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 006366) |
Enumeration Date | 2011-01-18 |
Last Update Date | 2013-01-16 |