| NPI | 1033267901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL BARRON CFO 337-785-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA PHY.6016-IR) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 0619110004) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 0619110004) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: LA 0619110004) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: LA 0619110004) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: LA PHY.6016-IR) | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-02-07 |