Organization
GRAY PHARM INCORPORATED
Active
Other names
The Pharmacy Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
BARTHOLEMEW HARDWELL (PHARMACIST)
(318) 323-2883
Entity
Organization
Contact information
Practice address
1510 S 2ND ST, MONROE, LA 71202-2742
(318) 323-2883
(318) 323-2883
Mailing address
1510 S 2ND ST, MONROE, LA 71202-2742
(318) 323-2883
(318) 323-2883
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007717-IR
LA
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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