| NPI | 1023571536 |
|---|---|
| Other Name | PRIORITY HEALTH CARE PHARMACY - GRETNA |
| Entity Type | Organization |
| Authorized Contact | TAMARA BOUTTE DIOUBATE CEO 504-309-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-05-17 |