| NPI | 1033284617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY SOILEAU Owner 337-468-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: LA 1688RI) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2025-09-11 |