| NPI | 1790196657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDI MOORE CEO 318-213-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 011350) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |