| NPI | 1801272695 |
|---|---|
| Doing Business As | MEDICINE SHOPPE #25 |
| Entity Type | Organization |
| Authorized Contact | JORDAN THIBODAUX Pharmacist In Charge 985-643-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 007159-IR) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2024-03-22 |