| NPI | 1922150564 |
|---|---|
| Doing Business As | MOSS MEMORIAL CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAWN JOHNSON-HATCHER CFO 337-494-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.006714-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-12-04 |