| NPI | 1861415721 |
|---|---|
| Doing Business As | DAVID RAINES COMMUNITY HEALTH CENTERS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIE WHITE CEO 318-227-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA PHY.005457-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 3336M0003X Pharmacy Managed Care Organization Pharmacy | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-12-22 |