NPI | 1023638715 |
---|---|
Doing Business As | LAFAYETTE GENERAL MEDICAL CENTER RETAIL PHARMACY |
Entity Type | Organization |
Authorized Contact | PATRICK W. GANDY CEO 337-289-7743 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2020-04-22 |
Last Update Date | 2021-11-30 |