| NPI | 1912072521 |
|---|---|
| Doing Business As | HIGHER GROUNDS PHARMACY MINISTRY |
| Entity Type | Organization |
| Authorized Contact | SHEVELLE LIESA FORD PIC 225-291-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 4058) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-05-20 |