NPI | 1770660201 |
---|---|
Doing Business As | LOVELACE DRUG STORE |
Entity Type | Organization |
Authorized Contact | MODENA S CANNON Pharmacy Operations Manager 228-769-7067 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MS 07128/01.2) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2008-06-04 |