| NPI | 1003976028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SCOTT CLOUD Director Of Pharmacy 337-721-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA 5129-IR) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-09-09 |