| NPI | 1811236375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY JOE WOODARD Owner/Pharmacist 225-241-7563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2025-07-08 |