| NPI | 1932355088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED REEVES FLURRY Pharmacist 318-628-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 372-IR) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-27 |