Lil Boos Corner Store LLC
NPI #1639619653 in Boyce, Louisiana
Provider Information
- NPI Number
- 1639619653
- Entity Type
- Organization
- Organization Name
- Lil Boos Corner Store LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 24, 2017
- Last Updated
- Jul 18, 2023
Practice Location
Authorized Official
- Name
- ROBERT MADDOX IV
- Title
- OWNER
- Phone
- (318) 793-2028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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