| NPI | 1912613803 |
|---|---|
| Doing Business As | HEADRICK'S DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | SHOMICHAEL STEPHENS Owner 318-697-4381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |