NPI: 1134272644 · SHREVEPORT, LA 71101 · Community/Retail Pharmacy · NPI assigned 01/19/2007
| Authorized Official | DUCK, JAMES (OWNER/PRESIDENT) |
| NPI Enumeration Date | 01/19/2007 |
Other providers sharing the same authorized official: DUCK, JAMES
| Provider | City | State | Total Paid |
|---|---|---|---|
| CROSSROADS PHARMACY SERVICES LLC | PINEVILLE | LA | $0.00 |
| CORNER DRUG STORE | SPRINGHILL | LA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 68 | $0.00 |