| NPI | 1902752504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANY HEGAZY Owner 318-623-2558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2026-03-06 |
| Last Update Date | 2026-03-06 |